Ms Tracy Lynn Wilson, LLP, LPC, NCC is a
Psychologist based in Paw Paw, Michigan. Ms Tracy Lynn Wilson is licensed to practice in Michigan (license number 6301010633) and her current practice location is
181 W Michigan Ave, Suite 3, Paw Paw, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 657-6025.
NPI number for Ms Tracy Lynn Wilson is 1710082243 and her current mailing address is 181 W Michigan Ave, Paw Paw, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710082243.
Healthcare Provider's Profile
| Full Name | Ms Tracy Lynn Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 181 W Michigan Ave, Paw Paw, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710082243
- Provider Enumeration Date: 09/13/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Tracy Lynn Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710082243 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 6401006865 (Michigan) | Primary |
| 103T00000X | Psychologist | 6301010633 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Tracy Lynn Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Tracy Lynn Wilson, LLP, LPC, NCC
181 W Michigan Ave,
Paw Paw, MI 49079-1432
Ph: (269) 657-6025 | Ms Tracy Lynn Wilson, LLP, LPC, NCC
181 W Michigan Ave, Suite 3,
Paw Paw, MI 49079-1432
Ph: (269) 657-6025 |
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